Informace o publikaci

Spontánní retroperitoneální hematom - naše zkušenosti s aktivním chirurgickým přístupem

Autoři

MITÁŠ Ladislav NEVRTAL Tomáš KUNOVSKÝ Lumír KALA Zdeněk KAMELANDER Jan ČAN Vladimír ANDRAŠINA Tomáš PENKA Miroslav PENKA Igor

Rok publikování 2019
Druh Článek v odborném periodiku
Časopis / Zdroj Rozhledy v chirurgii
Citace
Klíčová slova retroperitoneal hematoma; bleeding; anticoagulation treatment; surgery
Popis Spontaneuous retroperitoneal hematoma is a serious complication of anticoagulation and antiplatelet therapy. Its incidence has increased in recent years due to an increasing number of patients on this treatment. A number of case series have been described in the literature. In the vast majorityof cases, the hemopdynamically stable patients were treated either conservatively or by selective radiological embolization of the bleeding source. A surgical approach is reported as a last choice in the cases where the conservative therapy fails, radiological intervention is unavailable, in patients with continuous bleeding or in patients who develop abdominal compartment syndrome. In our case report, we present a patient on anticoagulation therapy for deep venous thrombosis complicated by massive etroperitoneal bleeding: surgery was used as the method of first choice and the treatment was successful.